| Keystone Dental Group | |
|
7255 N Keystone Ave Ste B Indianapolis IN 46240-3297 | |
| (317) 537-7691 | |
| Not Available |
| Full Name | Keystone Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7255 N Keystone Ave Ste B, Indianapolis, Indiana |
| Authorized Official Name and Position | Fahad Javed (OWNER) |
| Authorized Official Contact | 3175377691 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keystone Dental Group 7255 N Keystone Ave Ste B Indianapolis IN 46240-3297 Ph: (317) 537-7691 | Keystone Dental Group 7255 N Keystone Ave Ste B Indianapolis IN 46240-3297 Ph: (317) 537-7691 |
| NPI Number | 1215345582 |
|---|---|
| Provider Enumeration Date | 07/30/2014 |
| Last Update Date | 07/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215345582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12010782 (Indiana) | Primary |
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